NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A 32-year-old female meets with the nurse on her first office visit since undergoing a left mastectomy. When asked how she is doing, the woman says her appetite is still not good, she is not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really anxious to get back to work. Which of the following nursing interventions should the nurse explore to support the client's current needs?
Correct Answer: B
Rationale: Insomnia is a primary concern, and relaxation techniques can help improve sleep, addressing the client's emotional and physical recovery needs post-mastectomy.
Question 2 of 5
After nasal surgery, the client expresses concern about how to decrease facial pain and swelling while recovering at home. Which of the following discharge instructions would be most effective for decreasing pain and edema?
Correct Answer: D
Rationale: Cold compresses reduce swelling and pain by constricting blood vessels. Analgesics should be taken as needed, not routinely. Corticosteroid sprays are for inflammation, not acute swelling. Humidifiers help with dryness but not directly with edema.
Question 3 of 5
Post-cystectomy, a client asks about the purpose of the ileal conduit. The nurse explains it is to:
Correct Answer: B
Rationale: An ileal conduit diverts urine from the ureters to a stoma, collected in an external pouch.
Question 4 of 5
When administering a thrombolytic drug to the client experiencing a myocardial infarction (MI), the nurse explains that the purpose of the drug is to:
Correct Answer: B
Rationale: Thrombolytic drugs dissolve clots in coronary arteries, restoring blood flow to the myocardium during an MI, reducing infarct size and improving outcomes.
Question 5 of 5
When teaching a client with heart failure about preventing complications and future hospitalizations, which problems stated by the client as reasons to call the physician would indicate to the nurse that the client has understood the teaching? Select all that apply.
Correct Answer: A,B,D
Rationale: Shortness of breath at rest (
A), weight gain of 2 lb or more in 1 day (
B), and sleeping sitting up (
D) indicate worsening heart failure, requiring physician notification.